Distinguished Advocate for Nursing Award 2026

Distinguished Advocate for Nursing Award Online Form 2026

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Nominee Information:

Deadline to Nominate: Friday, March 27, 2026

CRITERIA: This award is given to an individual, group, agency, or institution that has promoted and/or supported nurses, the nursing profession, or the specific missions of nursing. Previous winners are eligible for re-nomination provided they are being nominated for accomplishments made after their past award. (Please write the name of the contact person for the nominated group, agency or institution that is to be notified if a group is chosen for the award.)

Nominee Name*

First Last

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home/Cell Phone*

Business Phone*

Email*

Work Title/Credentials*

Employer*

If a group, please list individual names (if known)

How has the individual, group, agency or institution promoted nursing or nurses?*

Additional Comments

Nominator Information:

Nominator's Name*

First Last

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home/Cell Phone*

Business Phone*

Email*

Relationship to Nominee*